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Chiari Network Endocarditis: Not Just an Innocent Bystander
Author(s) -
Mousavi Negareh,
Bhagirath Kapil,
Ariyarajah Vignendra,
Fang Tielan,
Ahmadie Roien,
Lytwyn Matthew,
Jassal Davinder S.,
Seifer Colette
Publication year - 2008
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2008.00651.x
Subject(s) - medicine , endocarditis , tricuspid valve , infective endocarditis , bystander effect , cardiology , right atrium , surgery , population , environmental health , immunology
A Chiari's network, noted in approximately 2% of the general population, is a congenital remnant of the sinus venosum valve present in the right atrium. We report a case of a 67‐year‐old male who presented with acute infective endocarditis of the tricuspid valve due to coagulase‐negative Staphylococci. Despite appropriate antimicrobial therapy for 2 weeks, the patient remained febrile with septic emboli to the pulmonary vasculature. Repeat transthoracic echocardiography (TTE) revealed persistent vegetations adherent to the tricuspid valve, extending onto the Chiari network, necessitating surgical intervention .